Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure

Revista do Colégio Brasileiro de Cirurgiões

Silvia Mandello Carvalhaes¹  Andy Petroianu¹  Mauro Augusto Tostes Ferreira¹  Virgínea Magalhães De Barros¹  Raquel Virgínea Lopes¹ 

关键词: Keloid;    Triamcinolone Acetonide;    Wound Healing;    Surgical Procedures;    Operative;    Queloide;    Triancinolona Acetonida;    Cicatrização;    Operação Cirúrgica;   

DOI  :  10.1590/0100-69912015001003

来源: SciELO

【 摘 要 】

OBJECTIVE: To evaluate the combined treatment of ear lobe keloids. METHODS: We studied 46 consecutive patients with 81 ear lobe keloids. Patients underwent local infiltration of triamcinolone acetonide (TCN) at concentrations of 40mg/ml (Group 1), 20 mg/ml (Group 2) and 10mg/ml (Group 3). The volume of TCN infiltrate varied according to the size of the lesion. Treatment consisted of three monthly injections before surgery, excision of keloid in the fourth month and perioperative infiltration, followed by two more leaks TCN within two months. Patients used earrings pressure on the scar after operation for four months. The pressure exerted by earrings in the ear lobe was measured electronically. Post-treatment follow-up of patients was 24 months. RESULTS: TCN at concentrations of 20mg/ml and 40mg/ml were effective for the treatment of keloids, no difference between the groups (p = 0.58). However, patients in which TCN was infiltrated the 10mg/ml had poor involution of keloid and the study of this group was stopped. CONCLUSION: the combination of infiltration TCN month to 20 mg/mL (1.2mg to 2.0mg per mm3 TCN injury), surgical excision and pressure application device is effective for treatment of keloid ear lobe.

【 授权许可】

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